Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.71 / $270.91 / $486.25	Facility		$128.71	$270.91	$486.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $170.92 / $307.38	Professional		$89.98	$170.92	$307.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.66 / $173.66 / $451.52	Facility		$173.66	$173.66	$451.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $104.19 / $378.84	Professional		$74.00	$104.19	$378.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.20 / $173.66 / $173.66	Facility		$104.20	$173.66	$173.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $173.66 / $173.66	Professional		$126.77	$173.66	$173.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.52 / $423.98 / $1,302.52	Facility		$212.52	$423.98	$1,302.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.88 / $273.11 / $561.04	Professional		$127.88	$273.11	$561.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.30 / $225.76 / $390.74	Facility		$80.30	$225.76	$390.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $181.18 / $324.74	Professional		$121.56	$181.18	$324.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.75 / $75.75 / $75.75	Facility		$75.75	$75.75	$75.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $164.98 / $292.56	Professional		$75.75	$164.98	$292.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $169.32 / $423.98 / $1,447.25	Facility		$169.32	$423.98	$1,447.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $244.86 / $540.61	Professional		$133.47	$244.86	$540.61
United Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $104.20 / $328.25	Professional		$78.15	$104.20	$328.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $191.03 / $191.03 / $612.65	Facility		$191.03	$191.03	$612.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $173.66 / $461.48	Professional		$96.75	$173.66	$461.48